Individual
ALYSSA MARIE TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 WILLIAMS WAY S, BAITING HOLLOW, NY 11933-1335
(631) 678-2298
Mailing address
99 WILLIAMS WAY S, BAITING HOLLOW, NY 11933-1335
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
012107-01
NY
Other
Enumeration date
03/15/2023
Last updated
07/18/2025
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